The Ecological Green Heart Area of the Chang–Zhu–Tan Urban Agglomeration in Central China faces increasing forest health threats due to rapid urbanization and land use change. This study assessed the spatiotemporal dynamics and drivers of forest health from 2005 to 2023 using a multi-dimensional framework based on vitality, organizational structure, and anti-interference capacity. A forest health index (FHI) was constructed using multi-source data, and the optimal parameter geographic detector (OPGD) model was applied to identify dominant and interacting factors. The results show the following: (1) FHI declined from 0.62 (2005) to 0.55 (2015) and rebounded to 0.60 (2023). (2) Healthier forests were concentrated in the east and center, with degradation in the west and south; (3) Topography was the leading driver (q = 0.17), followed by climate, while socioeconomic factors gained influence over time. (4) Interactions among factors showed strong nonlinear enhancement. This research demonstrates the effectiveness of the OPGD model in capturing spatial heterogeneity and interaction effects, underscoring the need for differentiated, spatially informed conservation and land management strategies. This research provides scientific support for integrating ecological protection with urban planning, contributing to the broader goals of ecosystem resilience, sustainable land use, and regional sustainability.

Research on forest carbon sinks is crucial for mitigating global climate change and achieving carbon peaking and neutrality. However, studies at the county level remain relatively limited. This study utilized multi-source remote sensing data and the Carnegie–Ames-Stanford Approach (CASA) and soil respiration models to estimate the forest net ecosystem productivity (NEP) in Taoyuan County from 2000 to 2023. The spatiotemporal differentiation was analyzed using seasonal Mann–Kendall tests, Theil–Sen slope estimation, and standard deviation ellipses. The forest NEP for 2035 was predicted under multiple climate scenarios (SSP1-2.6, SSP2-4.5, SSP5-8.5) by applying a discrete coupling of the Patch-generating Land Use Simulation (PLUS) model, incorporating territorial spatial planning policy, and using the CASA model. The results indicated that the Taoyuan County forest NEP exhibited a fluctuating upward trend from 2000 to 2023, with higher (lower) values in the west/south (east/north). Under future warming and humidification, the overall forest NEP in Taoyuan County was projected to decrease by 2035, with predicted NEP values across scenarios ranking as SSP5-8.5 > SSP1-2.6 > SSP2-4.5. The findings offer practical insights for improving local forest management, optimizing forest configuration, and guiding county-level “dual-carbon” policies under future climate and land use change, thereby contributing to ecological sustainability.